Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tiffany R Jackson, NP

Individual provider Nurse Practitioner · NPI 1093066086

Mrs. Tiffany R Jackson, NP is a Nurse Practitioner in Hastings, Michigan. Qualified in 2012, 14 years ago. Practices with Thornapple Valley Family Physicians PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1108 W State St Ste 3
Hastings, MI 49058-9711
Phone: (269) 945-0922
Fax: (269) 945-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704240163 (MI)

Record details

NPI number1093066086
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 1, 2012
Last updated in NPPESSeptember 13, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Thornapple Valley Family Physicians Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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